Active NPI
Beth Bowers Ryan, MS. RN.
- Registered Nurse
- Indian Lake, NY
National Provider Identifier
1376857888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 221215-1
- Practice address
- 139 White Birch Lane
Indian Lake, NY 12842-0250 - Phone
- (518) 648-6146
- Fax
- (518) 648-6143
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 221215-1 | NY | Primary |
Addresses
Primary practice location
139 White Birch Lane
Indian Lake, NY 12842-0250
Mailing address
Box 473
Wells, NY 12190-0473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221215-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1376857888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 473",
"city": "WELLS",
"state": "NY",
"postal_code": "121900473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 WHITE BIRCH LANE",
"city": "INDIAN LAKE",
"state": "NY",
"postal_code": "128420250",
"telephone_number": "518-648-6146",
"fax_number": "518-648-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "BETH",
"middle_name": "BOWERS",
"credential": "MS. RN.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "221215-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.